Organization
KMART PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK KINI (DISTRICT MANAGER)
(847) 396-2040
Entity
Organization
Contact information
Practice address
161 BIG ELK MALL, ELKTON, MD 21921-5912
(410) 392-6315
Mailing address
161 BIG ELK MALL, ELKTON, MD 21921-5912
(410) 392-6315
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
24332
MD
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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